2017 Press Ganey Award Criteria

1 2017 Press Ganey Associates, Inc. 2017 Press Ganey Award Criteria Guardian of Excellence AwardSM This Award honors clients who have reached the 95th percentile for patient experience, engagement or clinical quality performance. Guardian of Excellence awards are awarded annually to clients who sustain performance in the top 5% for each reporting period for the Award year. Patient Experience The Guardian of Excellence Award is given to organizations who have achieved the 95th percentile or higher for the composite Overall Rating based on the standard Press Ganey reports during the course of the Award year.

2 Data are reviewed from standard reports delivered between May 2016 April 2017 for surveys received by March 31, 2017 . Regardless of the organizations Press Ganey reporting cycle, this timeframe of delivered reports will be used. Client peer groups are determined based on the information in the demographic profile. To be eligible, clients must participate in one of the targeted Award peer groups (listed below), meet minimum n guidelines* based upon the targeted peer group and be actively surveying for the entire reporting period.

3 Esurvey adjustments and phone calibrations are applied to all data where appropriate. Patient Experience Populations & Targeted Peer Group Comparisons Winners will be identified in the following categories using the All Press Ganey database, except where otherwise noted: Inpatient (using the Large database, and All database for only small facilities) Ambulatory surgery (using the Large database, and All database for only small facilities) ED (using the Large database, and All database for small facilities and freestanding EDs)

4 Medical practice** Outpatient services Home health Inpatient rehabilitation Outpatient oncology Inpatient behavioral health Urgent care Inpatient pediatric NICU * Must have been a Press Ganey client for the entire year with data received in each month during the Award period and have received at least one report in the last year. In addition, total annual returned n size must meet at least 90% or exceed the summed quarterly requirements for the peer group minimum n guidelines.

5 **For the Medical Practice category, a facility as a whole must meet the Criteria in the National Facilities database, or at least 75% of the organization s sites must meet the Criteria in the National Sites database. CAHPS Surveys For organizations that use an integrated Press Ganey patient experience survey or CAHPS-only survey, the Award program will also consider CAHPS performance on the CAHPS Rate 0-10 measure. Quarterly ranks will be generated by Press Ganey to reflect performance during the Award year based on data in our database using the JAJO cycle (July 2016, Oct 2016, Jan 2017 , April 2017 ) with standard look-back period for the respective service (using phone-adjusted scores, not eSurvey adjustment).

6 The quarterly rank must be at the 95th percentile or above for every quarter in the timeframe. 2017 Press Ganey Associates, Inc. CAHPS Populations & Targeted Peer Group Comparisons Winners will be identified in the following categories: HCAHPS - Winning facilities must be publicly reporting their HCAHPS data and have a minimum of 300 completed surveys (120 for small hospitals) during the Award year. Using the Large database, and All database for only small facilities. CGCAHPS A facility as a whole must meet the Criteria in the National Facilities database, or at least 75% of the organization s sites must meet the Criteria in the National Sites database.

7 OAS CAHPS - Using the Large database, and All database for only small facilities Engagement Engagement awards honor organizations for performance in employee engagement and physician engagement. Employee Engagement. Honors clients who have achieved the 95th percentile or higher on Engagement score for their most recent survey period for projects completed during the Award year (January December 2016). To be eligible for this Award , clients must have a minimum of 100 completed surveys per year and received a 50% or higher response rate during the specified timeframe.

8 Data in progress checks are not included. Physician Engagement. Honors clients who have achieved the 95th percentile or higher on Engagement or Alignment score for their most recent survey period for projects completed during the Award year (January December 2016). To be eligible for this Award , clients must have a minimum of 30 completed surveys per year and received a 40% or higher response rate during the specified timeframe. Clinical Quality Using 2016 calendar year data, 26 active and representative clinical measures from the emergency department, outpatient services, pregnancy and related conditions, stroke, tobacco, and venous thromboembolism measure sets will be used to calculate an overall composite score for each client.

9 Clients performing in the 95th percentile on the overall composite score will be recognized. To be eligible for this Award , clients must have a minimum of 10 cases for at least five measures in 2016. 2017 Press Ganey Associates, Inc. Pinnacle of Excellence AwardSM The Pinnacle of Excellence Award is given annually to the top performing organizations on the basis of extraordinary achievement. This Award recognizes clients who have maintained consistently high levels of excellence in patient experience, engagement or clinical quality performance.

10 For all Pinnacle of Excellence awards , organizations are eligible for winning category awards based on information in the demographic profile; to be eligible the demographic profile must be completed in the Press Ganey database. Patient Experience This Award recognizes the top three performers in each category based on overall composite mean score for the three year Award period. Winners are identified based on performance on three full years of data, from May 2014 - April 2017 . Inpatient (minimum of 300 completed surveys per year to be eligible, (120 for small hospitals).)